NPI | 1477702918 |
---|---|
Former Name | KIMBERLY MCDOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1815) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1815) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2023-09-21 |